This 50-year-old Asian gentleman is shown before and one year after a revision rhinoplasty and chin augmentation. Before, he had a silicone implant that caused a contracted, distorted nasal tip as well as an under augmented nasal bridge that showed shrink wrapping of the implant. Dr. Lam rotated his nasal tip downward to camouflage his nostrils and to create a more masculine profile that was natural in appearance. He also corrected the asymmetric nostrils. He used diced rib cartilage with Tisseel to build the bridge and a caudal septal extension graft to define the nasal tip and to lower and lengthen the nasal tip in a secure way.